Providence St. Joseph's Hospital

Chewelah, WA · Critical Access Hospital

Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.

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ProcedureCash priceGross charge× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $869.40 $1,242 0.9×
Upper GI endoscopy (EGD) with biopsy (43239) $1,695.40 $2,422 1.7×
Diagnostic colonoscopy (45378) $947.10 $1,353 0.9×
Colonoscopy with biopsy (45380) $529.90 $757 0.4×
Colonoscopy with lesion removal (45385) $628.60 $898 0.5×
Inguinal hernia repair (age 5+) (49505) $5,299.70 $7,571 1.3×
Epidural injection, lumbar/sacral (with imaging) (62322) $1,275.40 $1,822 1.3×
CT head/brain without contrast (70450) $1,033.20 $1,476 8.9×
MRI brain without contrast (70551) $2,132.20 $3,046 8.0×
MRI brain with contrast (70552) $2,273.60 $3,248 5.8×
MRI brain without and with contrast (70553) $3,643.50 $5,205 9.4×
X-ray lower spine, 4+ views (72110) $746.90 $1,067 6.4×
MRI lumbar spine without contrast (72148) $2,341.15 $3,344.50 8.8×
CT pelvis with contrast (72193) $1,229.90 $1,757 6.3×
MRI lower-extremity joint without contrast (73721) $2,089.50 $2,985 7.9×
CT abdomen and pelvis with contrast (74177) $3,390.80 $4,844 8.7×
Ultrasound, abdomen complete (76700) $770.70 $1,101 6.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $832.30 $1,189 7.1×
Ultrasound, transvaginal (76830) $744.10 $1,063 6.4×
Mammography, screening (bilateral) (77067) $280 $400 3.1×
Basic metabolic panel (80048) $74.90 $107 8.9×
Comprehensive metabolic panel (80053) $91.70 $131 8.7×
Obstetric panel (80055) $186.90 $267 3.9×
Lipid panel (80061) $59.50 $85 4.4×
Renal function panel (80069) $76.30 $109 8.8×
Hepatic function panel (80076) $61.60 $88 7.5×
Urinalysis, non-automated, without microscopy (81002) $29.40 $42 8.4×
PSA, total (84153) $105.70 $151 5.7×
Thyroid stimulating hormone (TSH) (84443) $112.70 $161 6.7×
CBC with automated differential (85025) $95.90 $137 12.3×
CBC, automated (85027) $61.60 $88 9.5×
Prothrombin time (PT) (85610) $52.50 $75 12.2×
Partial thromboplastin time (PTT) (85730) $81.90 $117 13.6×
Family psychotherapy, without patient (50 min) (90846) $244.65 $349.50 1.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $55.30 $79 1.9×
Office visit, new patient (low complexity, ~30 min) (99203) $184.80 $264 1.2×
Office visit, new patient (moderate complexity, ~45 min) (99204) $282.10 $403 1.9×
Office visit, new patient (high complexity, ~60 min) (99205) $348.60 $498 2.3×

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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